Individual
ASHLEY BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
329 E PLATTE AVE, FORT MORGAN, CO 80701-3172
(970) 768-7713
Mailing address
329 E PLATTE AVE, FORT MORGAN, CO 80701-3172
(970) 768-7713
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018349
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT.0018349
MASSAGE THERAPIST
CO
Enumeration date
03/04/2019
Last updated
03/04/2019
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